The consultation provides you with an accurate assessment of your present health status, especially as it relates to prostate cancer. Next we will discuss the various treatment alternatives. Depending on the stage of your disease, your life situation, and your personal preferences, a variety of treatments may be discussed.

Once we receive your application, we will contact you in 24-48 hours.

complete FILL IN FORM below or download > new_patient_application

TYPE OF CONSULTATION? (required)
via Officevia Telephonevia Skypevia FaceTime

Telephone or Internet type visits are $1200 - not reimbursed by insurance companies.

PATIENT INFO

MARITAL STATUS (required)
SingleMarriedDivorcedWidowed

INSURANCE INFORMATION
Please include a copy of your insurance card. If there is incorrect or missing insurance information, this may delay the process of your application.

MEDICAL INFORMATION

Last Three (3) PSA Results

Uploads * Files must be in doc, jpg, png or pdf format and < 8MB.

Insurance Card

Pathology or Imaging Report

Other Report